Most Relevant Information
Provider Data
| NPI Number: | 1003320383 |
| Provider Name: | SHANNON LEIGH ROSE ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP60801930 |
Most Important Dates
| Enumeration Date: | 11/25/2017 |
| Last Updated: | 03/16/2018 |
Provider Practice Location
908 JEFFERSON ST FL 5
SEATTLE
WA
981042433
Practice Location Phone/Fax
| Phone: | 2065205000 |
| Fax: |
Provider Mailing Location
PO BOX 50095
SEATTLE
WA
981455095
Provider Mailing Phone/Fax
| Phone: | 2065205700 |
| Fax: |